| NPI | 1346818028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0102209596) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT020866) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2025-08-18 |