| NPI | 1104270255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 339288) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A163039) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2024-01-23 |