| NPI | 1386952117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID M-16679) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A112385) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2022-08-30 |