| NPI | 1104346428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MT214425) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD61178811) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2022-07-21 |