| NPI | 1487214128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A186276) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2019019673) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2025-05-13 |