| NPI | 1497846315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD00023290) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD13558) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-10 |