| NPI | 1306105036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WA MD60953592) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60953592) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2019-10-06 |