| NPI | 1871828855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 56629-20) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA 60852394) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2019-03-29 |