| NPI | 1225699580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A187214) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA 1225699580) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2025-08-06 |