| NPI | 1578990750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR DO218530) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 20A16523) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2024-09-30 |