| NPI | 1073665436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A31059) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A31059) |
| 208D00000X General Practice (Licence: CA A31059) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2024-05-22 |