| NPI | 1558524140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 35369) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35-099040) |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: WA MD60480693) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2022-11-04 |