| NPI | 1851620447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A62780) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NV 13158) |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2015-11-23 |