| NPI | 1255878997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A175006) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 58219) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2022-08-02 |