| NPI | 1548212681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A80373) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A80373) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2015-07-31 |