| NPI | 1710277462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A138505) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 138505) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2018-03-17 |