| NPI | 1184042889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60904177) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: HI 19713) |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: HI 19713) | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2021-04-27 |