| NPI | 1356601553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA OP61169166) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 20A14825) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2023-07-26 |