| NPI | 1811484975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101282483) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A163602) |
| Enumeration Date | 2018-04-15 |
| Last Update Date | 2025-05-30 |