| NPI | 1386906428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD227242) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 264191-1) |
| 207V00000X Obstetrics & Gynecology (Licence: WA MD70036848) | |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2026-02-03 |