| NPI | 1295946234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL MD159495) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00048790) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2024-08-02 |