| NPI | 1639412026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 306016) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MS 25231) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2025-08-14 |