| NPI | 1972705739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS12014) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0102201840) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2025-05-06 |