| NPI | 1891757217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A55154) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A55154) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2015-07-16 |