| NPI | 1982053831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MO 2022017840) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD470611) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2025-05-23 |