| NPI | 1629693718 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DC MD60004299) | 
| Additional Taxonomies | 208600000X Surgery (Licence: SC LL84448) | 
| Enumeration Date | 2020-06-15 | 
| Last Update Date | 2025-07-21 |