| NPI | 1730718586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NC 2024-01828) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 2024-10828) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2024-07-09 |