| NPI | 1558317131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WA MD00022317) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WA MD22317) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2008-11-19 |