| NPI | 1841868189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR DO224027) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT021026) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2025-06-30 |