| NPI | 1124512330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A175995) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT216671) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2023-09-05 |