| NPI | 1982283339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KS 04-53236) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2026033508) |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2026-09-08 |