| NPI | 1144513862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A13839) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD P26504) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2018-05-08 |