| NPI | 1760944581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61586725) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 2693) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2024-09-23 |