| NPI | 1245379080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA OP60078047) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101016464) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2010-09-08 |