| NPI | 1467957159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MS 35142) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL 18758) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2025-10-07 |