| NPI | 1457625584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MD D74536) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA a112146) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2021-08-29 |