| NPI | 1962396358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 102019-851) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL UO10698) |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2026-06-21 |