| NPI | 1972033652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2021013439) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2017019537) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2025-11-10 |