| NPI | 1245675685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60854519) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 63078) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2018-06-18 |