| NPI | 1710986997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61508204) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NV 9040) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2024-02-21 |