| NPI | 1902865124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD161345) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G63379) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2017-05-03 |