| NPI | 1972985521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KS 04-42306) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301502953) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2025-11-14 |