| NPI | 1811971427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK MEDS7042) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 40597) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2025-01-24 |