| NPI | 1588668057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: TN 43672) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 021366) |
| Enumeration Date | 2005-06-11 |
| Last Update Date | 2020-02-25 |