| NPI | 1669583522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: RI MD17513) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00048667) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-03-23 |