| NPI | 1881193852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PR 23106) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL 157483) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2025-10-30 |