| NPI | 1972007706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A164551) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD61280979) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2023-07-26 |