| NPI | 1821027111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KS 04-33431) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00048117) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2014-10-06 |