| NPI | 1164961439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A18805) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA 20A18805) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA 20A18805) | |
| Enumeration Date | 2017-02-19 |
| Last Update Date | 2021-07-01 |