| NPI | 1689887051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A92088) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA 37975) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2013-08-16 |