| NPI | 1114081833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C178060) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60846716) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2024-03-14 |