| NPI | 1144714874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A178075) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT216367) |
| Enumeration Date | 2018-06-16 |
| Last Update Date | 2022-10-23 |