NPI | 1710954466 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: WA WA00023103) |
Additional Taxonomies | 174400000X Specialist (Licence: WA 23103) |
Enumeration Date | 2006-03-01 |
Last Update Date | 2016-02-09 |