| NPI | 1376885160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2024-01431) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101256836) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2025-04-23 |