| NPI | 1629084041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00042620) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G89166) |
| 207V00000X Obstetrics & Gynecology (Licence: WA MD00042620) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2017-03-20 |