| NPI | 1992717078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WA OP00000826) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: WA OP00000826) |
| 207Q00000X Family Medicine (Licence: WA OP00000826) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2015-11-02 |