| NPI | 1669866513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61418762) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 298895) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2023-11-03 |