| NPI | 1831345644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 12148) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH NOT YET ISSUED) |
| 207V00000X Obstetrics & Gynecology (Licence: CA 20A12148) | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2022-09-16 |