| NPI | 1811481146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61263764) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 29199) |
| 207V00000X Obstetrics & Gynecology (Licence: MN 65918) | |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2024-02-27 |