| NPI | 1275761314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA 111540) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| 207V00000X Obstetrics & Gynecology (Licence: CA 111540) | |
| Enumeration Date | 2009-06-28 |
| Last Update Date | 2015-05-06 |