| NPI | 1710965108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX M1126) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX m1126) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2025-07-09 |