| NPI | 1568515633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA G079403) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G079403) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2024-05-31 |