| NPI | 1831626381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A18789) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI InProgress) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2022-07-21 |