| NPI | 1831538867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61089161) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NH 18236) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2022-09-23 |