| NPI | 1801078100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK 109824) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 141212) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2026-06-17 |