| NPI | 1194819565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 46684) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60667404) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-08-02 |