| NPI | 1902852536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MT MED-PHYS-LIC-103374) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MD00025961) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2022-04-11 |