| NPI | 1790077311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2020-02747) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60513793) |
| 207V00000X Obstetrics & Gynecology (Licence: GA 77064) | |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2022-05-26 |