| NPI | 1912319880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A141902) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 390200000X)) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2022-10-13 |