| NPI | 1689962839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 68923) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0116023546) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2025-09-11 |