| NPI | 1750342234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD00033919) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G71806) |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2024-09-13 |