| NPI | 1184914046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA C185568) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD461241) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2024-08-07 |