| NPI | 1720583727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD212352) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD61320328) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2026-03-18 |