| NPI | 1942664016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A153992) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AK 167492) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2025-11-04 |