| NPI | 1093967507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A104318) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301096116) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2015-02-12 |