| NPI | 1285959965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD166992) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60463529) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2026-02-11 |