| NPI | 1528324712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0102206859) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA OP60737835) |
| 208D00000X General Practice (Licence: NE 1092) | |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2022-08-07 |