| NPI | 1457557894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60227592) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AK 6619) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2018-06-12 |