| NPI | 1730372830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WY 10119A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A104785) |
| 174400000X Specialist (Licence: CA A104785) | |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2015-12-18 |