| NPI | 1568521912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C55483) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D0065196) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2018-06-14 |