| NPI | 1770945172 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD197072) | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 152131) | 
| Enumeration Date | 2016-03-24 | 
| Last Update Date | 2020-10-28 |