| NPI | 1255322095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD00036838) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00036838) |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2025-07-14 |