| NPI | 1295951903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 91537) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2012-02323) |
| 207V00000X Obstetrics & Gynecology (Licence: IL 036-148196) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2025-03-11 |