NPI | 1225127491 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A5106) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS10041) |
207V00000X Obstetrics & Gynecology (Licence: FL OS10041) | |
207V00000X Obstetrics & Gynecology (Licence: CA 20A5106) | |
Enumeration Date | 2006-10-12 |
Last Update Date | 2019-07-12 |