| NPI | 1740696509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 156076) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A156076) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2022-02-11 |