| NPI | 1114364627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA OP61324093) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA OP61324093) |
| 207V00000X Obstetrics & Gynecology (Licence: NE 1281) | |
| 207V00000X Obstetrics & Gynecology (Licence: NV D02435) | |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2022-11-02 |