| NPI | 1215425756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 13075) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA 49847) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2025-02-05 |