| NPI | 1346382918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WY 10980A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 05-52031) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2025-11-04 |