| NPI | 1902862436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MI 4301065857) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI MT065857) |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2025-10-06 |