| NPI | 1457316093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A99567) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2003 00375) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2021-12-21 |