| NPI | 1629415294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ND 14636) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 256163) |
| 207V00000X Obstetrics & Gynecology (Licence: MN 62329) | |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2026-04-28 |