| NPI | 1720224967 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2022-02468)  | 
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 2022-02468)  | 
| Enumeration Date | 2008-12-17 | 
| Last Update Date | 2024-07-15 |