| NPI | 1336676550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 63284) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 5250-20) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2025-05-09 |