| NPI | 1538855655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 85020-20) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 100222-851) |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2025-01-23 |