| NPI | 1780974873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 295367) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA md60651676) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2024-05-30 |