| NPI | 1528637865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 61030) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2021021841) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2026-06-01 |