| NPI | 1871156687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: SC 96552) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 10814) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2026-09-01 |