| NPI | 1265965867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2025-01270) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD61163539) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2025-06-12 |