| NPI | 1811282106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WA MD60805619) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2011014857) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2018-11-06 |