| NPI | 1538502539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI In process) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA OP61061365) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2022-09-19 |