| NPI | 1053392035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C174771) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 205446) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2022-04-04 |