| NPI | 1437564176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA OP60835148) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD P30090) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2018-10-11 |