NPI | 1609807593 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA OP00001959) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: WA OP00001959) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2015-01-05 |