| NPI | 1821139445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60573990) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 49474) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2016-08-29 |