| NPI | 1659688323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD215354) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD61525222) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2024-03-21 |