| NPI | 1801392477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 292648) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 012354) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2026-05-18 |