| NPI | 1023541471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A201419) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 287410) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2025-05-27 |