| NPI | 1861704645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A14030) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA 20A14030) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2021-12-21 |