| NPI | 1487185633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 322155) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD61136628) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2025-08-12 |