| NPI | 1861985285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A177807) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL52628) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2022-11-08 |