| NPI | 1417965385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G68247) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: MO 2004030809) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2021-02-25 |