| NPI | 1770697971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A122883) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA ML20008720) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-10-28 |