| NPI | 1588661359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G78582) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NV 7055) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2015-04-03 |