| NPI | 1477567410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A112869) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00046296) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2014-09-24 |