| NPI | 1730185661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MN 36557) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G76967) |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2016-11-18 |