| NPI | 1538159587 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 52076)  | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 27361)  | 
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NE CP297)  | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AK 221602)  | |
| Enumeration Date | 2005-10-21 | 
| Last Update Date | 2025-03-17 |