| NPI | 1053384446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD00026070) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WA 00026070) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: WA 00026070) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2018-03-17 |