| NPI | 1639690787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2025-00681) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 51122) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2026-03-20 |