| NPI | 1104970946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 29A9160) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: CA 20A8160) |
| 207V00000X Obstetrics & Gynecology (Licence: CA 20A9160) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2023-10-18 |