| NPI | 1316961154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WA OP00001414) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OR DO18649) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2023-08-07 |