| NPI | 1356877427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61158100) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 69865-20) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2023-02-09 |