| NPI | 1790096089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60778018) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A131479) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2021-03-22 |