| NPI | 1417953639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 23410) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G61367) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2007-11-06 |