| NPI | 1689165854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: GA 104878) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MS 30276) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2025-06-29 |