| NPI | 1437446291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2025-02012) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 33947) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2025-10-07 |