| NPI | 1235137381 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101055392)  | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DC 31865)  | 
| Enumeration Date | 2005-07-12 | 
| Last Update Date | 2023-08-09 |