| NPI | 1710120530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA A107141) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD442945) |
| 207V00000X Obstetrics & Gynecology (Licence: CA A107141) | |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2024-04-26 |