| NPI | 1760612550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61468562) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 252590) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2025-12-01 |