| NPI | 1336125343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA OP00001920) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: WA OP00001921) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2023-04-24 |