| NPI | 1295266591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A204596) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 309634) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2025-09-23 |