| NPI | 1649634437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID 9671583) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA OP61031415) |
| 207V00000X Obstetrics & Gynecology (Licence: CA 20A16034) | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2025-12-03 |