| 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 |