| NPI | 1306571955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A206804) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 13521381-1205) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2026-07-29 |