| NPI | 1336673540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 85786) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 04-49741) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2025-07-17 |