| NPI | 1811346885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA R-10593) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD61525020) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2024-04-05 |