| NPI | 1922637255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA 61543615) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR 219830) |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2024-09-11 |