| NPI | 1578722294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2012-00643) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A104273) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 2012-00643) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2022-02-10 |