| NPI | 1740608884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 5101028043) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0102205234) |
| 207V00000X Obstetrics & Gynecology (Licence: MO 2020020209) | |
| Enumeration Date | 2014-04-05 |
| Last Update Date | 2026-07-15 |