| NPI | 1417185794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60520862) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 255305) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2021-05-25 |