| NPI | 1548242282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD26767) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60413278) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2021-10-08 |