| NPI | 1063767952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A161235) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 53558) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2023-11-27 |