| NPI | 1699152298 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DC MD048408) | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D89770) | 
| 207V00000X Obstetrics & Gynecology (Licence: CA A 134471) | |
| Enumeration Date | 2015-05-03 | 
| Last Update Date | 2020-09-21 |