| NPI | 1104050475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A125275) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT194948) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2021-11-18 |