| NPI | 1770150955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 202302979) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2025015798) |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2025-11-26 |