| NPI | 1851603195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 9029238-1205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 71963) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2026-03-19 |