NPI | 1790120608 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60576062) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60576062) |
Enumeration Date | 2013-05-06 |
Last Update Date | 2021-04-27 |