| NPI | 1881027704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61054883) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 6414) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2021-04-28 |