| NPI | 1679506141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM MD2010-0661) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00036465) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2024-10-03 |