| NPI | 1770530289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 49246) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD154611) |
| 207V00000X Obstetrics & Gynecology (Licence: WA MD00045694) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2025-01-16 |