| NPI | 1184638439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD00036137) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GU M-1624) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2023-04-25 |