| NPI | 1215203112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60642241) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA ML60289000) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2016-07-29 |