| NPI | 1023351970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60739930) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A136226) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2018-02-15 |