| NPI | 1699349696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 104783) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL86171) |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2025-06-24 |