| NPI | 1770157232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 208186) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101286906) |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2026-05-11 |