| NPI | 1750693602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD194318) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60575930) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2021-03-18 |