| NPI | 1356398697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A90034) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 38880) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2020-11-30 |