| NPI | 1669576047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA RN00122219) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA ARNP30004321) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2008-02-20 |