| NPI | 1629204557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A11232) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP 60070418) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA 20A11232) | |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2018-01-11 |