| NPI | 1134361785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA 61442754) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 256082) |
| Enumeration Date | 2009-03-28 |
| Last Update Date | 2023-11-02 |