| NPI | 1235113770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 14651R) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 14651R) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2025-10-08 |