| NPI | 1972705762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD00048130) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A87757) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2021-04-05 |