| NPI | 1285165449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV DO3667) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 1954) |
| 207V00000X Obstetrics & Gynecology (Licence: PA OS020750) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2025-08-06 |