| NPI | 1578752846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD27996) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G64903) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2008-01-28 |