| NPI | 1295807253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61182933) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD27521) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2025-07-30 |