| NPI | 1609268804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61177425) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA ML60756763) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2021-06-21 |