| NPI | 1205904646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 854207) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101236755) |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2021-04-07 |