| NPI | 1922495688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MO 2019016826) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KS 04-44895) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2026-03-01 |