NPI | 1740202514 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00032100) |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: WA MD00032100) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2024-07-30 |