| NPI | 1518463223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61292499) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 72355-20) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2022-10-06 |