| NPI | 1689668386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A83647) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2009-00122) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2021-12-15 |