| NPI | 1114155306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60519357) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2009016615) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2015-01-22 |