| NPI | 1225535784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: TX V2706) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101275409) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2025-08-25 |