| NPI | 1902252539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 91612) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A169210) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2022-07-01 |