| NPI | 1538780929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 87282-020) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 73425) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2026-07-27 |