| NPI | 1710474176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A184575) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD478291) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2025-04-24 |