| NPI | 1083998462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV 16125) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 840847) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2019-07-11 |