| NPI | 1336705946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 347302) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PR 23966) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2025-07-22 |