| NPI | 1265968747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101285862) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WV 30565) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2025-07-09 |