| NPI | 1720077274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A7343) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA 20A7343) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2024-04-20 |