| NPI | 1629089636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA g79456) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA G79456) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2016-10-25 |