| NPI | 1205110202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61314374) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2013023321) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2023-01-05 |