| NPI | 1053587667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A124116) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101242049) |
| Enumeration Date | 2008-05-03 |
| Last Update Date | 2021-12-15 |