| NPI | 1790798841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA OP60102292) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT 044533) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2021-05-11 |