| NPI | 1528626389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD213821) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD.MD.61405782) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2023-12-11 |