| NPI | 1366077786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A196132) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101274499) |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2025-11-13 |