| NPI | 1770526006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV 23596) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX K5239) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2025-11-13 |