| NPI | 1174763064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR DO203473) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH BS361734183369) |
| 207V00000X Obstetrics & Gynecology (Licence: WA OP60090125) | |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2021-07-07 |