| NPI | 1740784164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 93378) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101280902) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2025-04-17 |