| NPI | 1104837947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA A60964) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A60964) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-09-01 |