| NPI | 1396770905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C153083) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 48141) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2023-11-08 |