| NPI | 1316684475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MA 1027036) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10078823) |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2026-08-02 |