| NPI | 1669702502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60688841) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A110278) |
| Enumeration Date | 2009-12-26 |
| Last Update Date | 2022-02-04 |