| NPI | 1750458873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61485190) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA G65301) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA G65301) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2025-12-09 |