| NPI | 1174722417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA C160027) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA C160027) |
| 207V00000X Obstetrics & Gynecology (Licence: AZ 44101) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2024-04-19 |