| NPI | 1871098590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61665604) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD224424) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2025-09-08 |