| NPI | 1962606483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD154537) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60218135) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2015-06-09 |