| NPI | 1053522276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: HI MD14273) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA C140277) |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2022-06-01 |