NPI | 1992734750 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD00041147) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WA MD00041147) |
207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: WA MD00041147) | |
Enumeration Date | 2006-07-02 |
Last Update Date | 2023-03-07 |