| NPI | 1033118914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD23654) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD0044373) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2021-03-26 |