| NPI | 1386189413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD467843) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A146085) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2022-06-20 |