| NPI | 1629286323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR 159062) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: CA A93867) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2012-11-06 |