| NPI | 1316334600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A179923) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL TPME4624) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2025-08-12 |