| NPI | 1023055928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 36123) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G86986) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2022-12-14 |