| NPI | 1700535663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD231429) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD.MD.70157163) |
| Enumeration Date | 2022-03-19 |
| Last Update Date | 2026-10-20 |