| NPI | 1255968566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101287039) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 74548) |
| 207V00000X Obstetrics & Gynecology (Licence: CA A190910) | |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2025-09-22 |