| NPI | 1659465185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: WA MD60926804) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: HI MD-10999) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2021-01-18 |