| NPI | 1497046361 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A124094) | 
| Additional Taxonomies | 174400000X Specialist (Licence: CA A124094) | 
| Enumeration Date | 2011-04-27 | 
| Last Update Date | 2019-04-16 |