| NPI | 1316687502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 112192) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL87863) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2026-06-30 |