| NPI | 1205968765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60129073) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 238171) |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2019-07-31 |