| NPI | 1649619651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK 237624) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 191290) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2025-10-02 |