| NPI | 1477113082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A188537) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT219046) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2023-10-13 |