| NPI | 1497316020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0102209082) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM DO2024-0108) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2024-12-20 |