| NPI | 1942356704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA 00000262) |
| Additional Taxonomies | 176B00000X Midwife (Licence: WA MW262) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2022-07-21 |