| NPI | 1265894448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A151526) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NH 22528) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2023-05-12 |