| NPI | 1821354226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 71945) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NH NH17861) |
| 207V00000X Obstetrics & Gynecology (Licence: AZ R73559) | |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2026-08-06 |