| NPI | 1053705475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV 21520) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A161317) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2024-05-23 |