| NPI | 1871912535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA OP61215919) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX S1042) |
| 207V00000X Obstetrics & Gynecology (Licence: WA OP61215919) | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2023-03-13 |