| NPI | 1891896627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2010013507) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 04-40082) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2025-11-04 |