| NPI | 1902986979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: WA MD00032247) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00032247) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2011-06-07 |