| NPI | 1134357981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A118879) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT191921) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2019-01-10 |