| NPI | 1700044187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C55826) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301092193) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2014-05-21 |