| NPI | 1356390454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA OP00002124) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR DO25698) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2024-09-03 |