| NPI | 1790886026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: WA MD00045384) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: OR MD26234) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |