| NPI | 1417489782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2025-02554) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101265168) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2025-11-07 |