| NPI | 1871574244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MT 10702) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00040489) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MT 10702) | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2022-07-21 |