| NPI | 1790892024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD39840) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: GA 81225) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2018-08-10 |