| NPI | 1205360104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A172088) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 63005) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2022-03-01 |