| NPI | 1548780182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A167748) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA 20A16748) |
| Enumeration Date | 2017-06-25 |
| Last Update Date | 2025-09-08 |