| NPI | 1710935150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A49706) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A049706) |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: CA A49706) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2016-05-20 |