| NPI | 1962630376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60829971) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: HI 16892) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: HI 16892) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2025-11-12 |