| NPI | 1508152026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60557171) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD171276) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2022-12-15 |