| NPI | 1902293277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 12324127-1204) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 20A18440) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2021-06-04 |