| NPI | 1457640047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 61179) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2023-00123) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2025-02-25 |