| NPI | 1528033701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A79688) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A79688) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2023-12-12 |