| NPI | 1710199344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101242399) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A118445) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-06-23 |