| NPI | 1720116502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G81814) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G81814) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2023-03-07 |