| NPI | 1801963988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: CA A82699) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: CA A82699) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-08 |