| NPI | 1053357335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60168525) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: WA MD60168525) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-10-07 |