| NPI | 1730648619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 194036) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD61489330) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 333496) | |
| 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: ME MD28475) | |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: ME MD28475) | |
| 207V00000X Obstetrics & Gynecology (Licence: ME MD28475) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2025-09-08 |