| NPI | 1033523675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60844929) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI MD18987) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WA 60844929) | |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2022-12-20 |