| NPI | 1356795561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61407539) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2020006663) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2023-11-11 |