| NPI | 1336195783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 95-00810) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM MD2026-0353) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2026-08-13 |