| NPI | 1396309563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101278711) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 1396309563) |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2026-05-21 |