| 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 |