| NPI | 1467081711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 194407) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 76712-20) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2024-05-01 |