| NPI | 1689763781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 00A617050) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A061705) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2015-04-24 |