| NPI | 1316056286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 252767) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA ML20007521) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-07-06 |