| NPI | 1225062946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60223685) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ID M8203) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2018-03-17 |