| NPI | 1821403171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR DO186931) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT016125) |
| 207V00000X Obstetrics & Gynecology (Licence: WA OP60858555) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2025-12-16 |