| NPI | 1699153916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 292886) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60950087) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2022-11-25 |