| NPI | 1073801379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60777402) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 60140) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2024-01-16 |