| NPI | 1497730758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C54094) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 227319) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2017-03-31 |