| NPI | 1447583877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A124503) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA ML60093363) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2015-03-12 |