| NPI | 1033643424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A200509) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101271975) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2025-04-21 |