| NPI | 1982798641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR OR MD22749) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA WA MD00039357) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-13 |