| NPI | 1578093779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A172370) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT213819) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2024-04-23 |