| NPI | 1265793566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A143101) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 252271) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2022-07-21 |