| NPI | 1255593174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA G95748) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 046622) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2022-07-21 |