| NPI | 1548720121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 94477) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 1015917) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2025-09-04 |