| NPI | 1548502586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA TO60905528) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 39229) |
| 207Q00000X Family Medicine (Licence: MS 25337) | |
| 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: MS 25337) | |
| Enumeration Date | 2013-03-16 |
| Last Update Date | 2021-06-17 |