| NPI | 1477557908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: CA C50040) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 46948) |
| 207V00000X Obstetrics & Gynecology (Licence: CA C50040) | |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2019-05-15 |