| NPI | 1821189390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2008-00552) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA MD201042) |
| 207V00000X Obstetrics & Gynecology (Licence: SC 25392) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2025-08-25 |