| NPI | 1891318366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC LL83264) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MS 33006) |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2026-10-12 |