| NPI | 1255952446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61547292) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ R78039) |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2024-09-03 |