| NPI | 1558411207 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV 17441) | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME88442) | 
| 207V00000X Obstetrics & Gynecology (Licence: MS 21874) | |
| Enumeration Date | 2007-01-12 | 
| Last Update Date | 2025-03-18 |