| NPI | 1609261148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 1023274) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 84220) |
| 207V00000X Obstetrics & Gynecology (Licence: TX S8191) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2025-05-20 |