| NPI | 1619144789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD157510) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60275529) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2022-02-04 |