| NPI | 1962454090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV 12205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00045490) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2024-04-12 |