| NPI | 1720216690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2022-01148) |
| Additional Taxonomies | 170300000X Genetic Counselor, MS |
| 207V00000X Obstetrics & Gynecology (Licence: SC LL52463) | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2022-08-10 |