| NPI | 1205041225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA A49082) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA 60157134) |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2010-06-29 |