| NPI | 1447828124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A203838) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT222620) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2026-01-09 |