| NPI | 1841386703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD172428) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00047898) |
| 207V00000X Obstetrics & Gynecology (Licence: NH RT1185) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2021-03-22 |