| NPI | 1235575606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2024039221) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 04-50575) |
| 207V00000X Obstetrics & Gynecology (Licence: ND 14575) | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2026-05-27 |