| NPI | 1295751170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60660120) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 238127) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MI 4301055550) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2022-07-21 |