| NPI | 1932165206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A88457) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD425388) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2016-04-08 |