| NPI | 1164605010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 060717) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60756520) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2022-07-21 |