| NPI | 1417941006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD00029192) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ID M5872) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2010-06-29 |