| NPI | 1174615389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA G54179) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G54179) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2021-03-30 |