| NPI | 1295804946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA RN00076607) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA AP30000809) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-08 |