| NPI | 1851852966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 05755) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2023027408) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2024-08-02 |