| 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 |