| NPI | 1881157956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 74718) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2023-02186) |
| Enumeration Date | 2019-04-07 |
| Last Update Date | 2025-08-22 |