| NPI | 1801808092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G66437) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G66437) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2019-05-18 |