| NPI | 1720039258 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DC MD044305) | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D0062876) | 
| 207V00000X Obstetrics & Gynecology (Licence: NC 2007-01103) | |
| Enumeration Date | 2006-05-12 | 
| Last Update Date | 2025-03-21 |