| NPI | 1154562247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60480739) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A106984) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2014-10-20 |