| NPI | 1689069767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM MD2023-1387) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AK 155959) |
| Enumeration Date | 2015-04-05 |
| Last Update Date | 2025-10-23 |