| NPI | 1801328653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61131512) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD223920) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2025-08-18 |