| NPI | 1366408635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 81174) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 23654) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2025-07-31 |