| NPI | 1003072216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 7960145-1205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD61215011) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2021-09-02 |