| NPI | 1235266503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 53569-20) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MT 7830) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WA MD60100971) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-12-04 |