| NPI | 1164587259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD 60141997) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 6628) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2011-11-21 |