| NPI | 1063535946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 47594) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 20A9872) |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2021-04-07 |