| NPI | 1962070110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA OS024888) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA 0T021105) |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2025-12-03 |