| NPI | 1891080784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A124382) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 248427) |
| Enumeration Date | 2011-06-18 |
| Last Update Date | 2022-11-03 |