| NPI | 1609162593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60560492) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125059650) |
| 207V00000X Obstetrics & Gynecology (Licence: WA MD60560492) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2022-09-15 |