| NPI | 1700463346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2025-02284) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 303089) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2025-09-03 |