| NPI | 1578827077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA a16705) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101020058) |
| 207V00000X Obstetrics & Gynecology (Licence: OR DO175806) | |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2019-03-21 |