| NPI | 1841267911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 25151) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00036678) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2007-07-08 |