| NPI | 1184860363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60269809) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA a106213) |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2022-02-01 |