| NPI | 1205279809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD212924) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60742712) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2026-06-11 |