| NPI | 1770557126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: AZ 30248) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 30248) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2025-05-23 |