| NPI | 1497195143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60927880) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD192182) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2023-11-13 |