| NPI | 1659336105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 3135) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR DO221367) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2025-10-16 |