| NPI | 1275519944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60247722) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60247722) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2012-02-07 |