| NPI | 1255403622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: WA MD60636963) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60636963) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2025-09-30 |