| NPI | 1982139853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2021-01347) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 97694) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2025-05-16 |