| NPI | 1124445499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60858464) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD188579) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2022-02-01 |