| NPI | 1801158282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C172012) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT201550) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101260442) | |
| 207V00000X Obstetrics & Gynecology (Licence: TN MD57852) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2021-07-14 |