| NPI | 1083699078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD 60170420) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 32929) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2022-02-04 |