| NPI | 1033452123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A179327) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD61086395) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2022-11-09 |