| NPI | 1164798625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 89700) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA a140471) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2023-10-30 |