| NPI | 1255419610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: WA MD00026913) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00026913) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2013-12-12 |