| NPI | 1265828776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A184076) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NV 19137) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2023-02-09 |