| NPI | 1639205875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: WA MD60074758) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A98439) |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2009-09-14 |