NPI | 1184629859 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA G43461) |
Additional Taxonomies | 174400000X Specialist (Licence: WA MD00019274) |
Enumeration Date | 2005-06-17 |
Last Update Date | 2020-11-05 |