| NPI | 1336415959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2017-02308) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A142023) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2023-12-13 |