| NPI | 1588728372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A61638) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A061638) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2016-05-11 |