| NPI | 1508040684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2012-01505) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A102307) |
| Enumeration Date | 2007-12-25 |
| Last Update Date | 2021-04-06 |