| NPI | 1629232194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD196622) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA ML60018701) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2020-12-21 |