| NPI | 1164803003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 65454) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA OP61414813) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2025-10-15 |