| NPI | 1063410322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A48104) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A48104) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2021-04-07 |