| NPI | 1083978498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A150137) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2016-01794) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2018-11-27 |