| NPI | 1750481610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 33687) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A89763) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2021-01-26 |