| NPI | 1730489634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60366132) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A114404) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2015-02-03 |