| NPI | 1790989028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 95067203) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NY 001179) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2018-09-13 |