| NPI | 1164650354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60351795) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2009014075) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2013-08-05 |