| NPI | 1609043835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61116194) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 51975-20) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA C136085) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA C136085) | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2021-06-09 |