| NPI | 1124176946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G59580) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ID 4771780) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2026-02-12 |