| NPI | 1801849344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60128135) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR 14209) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2010-10-05 |