| NPI | 1558536763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A163251) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101258816) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2019-09-16 |