| NPI | 1265404784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60244750) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MT 10554) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2020-07-23 |