| NPI | 1265638043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A68363) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 93444) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2016-08-30 |