| NPI | 1669496907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60461074) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD20540) |
| 207V00000X Obstetrics & Gynecology (Licence: VT 042-0012174) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2019-11-20 |