| NPI | 1487764601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 127470501205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00049316) |
| 207V00000X Obstetrics & Gynecology (Licence: MT MED-PHYS-LIC-50962) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-04-17 |