| NPI | 1558561027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301090280) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60201670) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2020-10-07 |