| NPI | 1558419093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK 231304) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00036721) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2025-06-12 |