| NPI | 1407806961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A72812) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A72812) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2021-11-11 |