| NPI | 1356632947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A107061) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2014020947) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2024-12-24 |