| NPI | 1750500245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2014-01558) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 40320) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101287348) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2026-02-04 |