| NPI | 1255484416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60573977) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 28759) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2015-09-01 |