| NPI | 1346635430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A161805) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A161805) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2023-04-19 |