| NPI | 1104898550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61474775) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ID M7450) |
| 207V00000X Obstetrics & Gynecology (Licence: OH M7450) | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2024-05-29 |