| NPI | 1750729612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0102203909) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA OP61400850) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2025-11-20 |