| NPI | 1497075105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 103886) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2014-01382) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2025-08-06 |