| NPI | 1265409916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: OR MD17370) |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: WA MD00031915) |
| 174400000X Specialist (Licence: WA 31915) | |
| 207V00000X Obstetrics & Gynecology (Licence: OR MD17370) | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2019-02-13 |