| NPI | 1932510963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A143922) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A143922) |
| 208D00000X General Practice (Licence: CA A143922) | |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2021-12-06 |