| NPI | 1386642783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A8265) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 3696) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2018-08-29 |