| NPI | 1689013468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A149038) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2013018163) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2021-09-03 |