| NPI | 1720014707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60200519) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0063561) |
| 207V00000X Obstetrics & Gynecology (Licence: MD D0063561) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2019-01-03 |