| NPI | 1215915806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD25878) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60210011) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2023-12-06 |