| NPI | 1073574620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61079945) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: CO 0037957) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2021-05-24 |