| NPI | 1831395516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60681538) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A107216) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2020-12-07 |