| NPI | 1861456139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA C186542) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MD00042420) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WA MD00042420) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2023-07-20 |