| NPI | 1023242120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A107155) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 46951) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2013-08-19 |