| NPI | 1669768420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A128978) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 38711) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2020-06-08 |