| NPI | 1407085665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C162232) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 42234) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2021-04-30 |