| NPI | 1417996810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A46890) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A48690) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2016-03-30 |