| NPI | 1255536405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60170852) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD27441) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-10-12 |