| NPI | 1467499228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A91570) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2003004247) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2010-03-02 |