| NPI | 1952676041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G50219) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA G50219) |
| 208D00000X General Practice (Licence: CA G50219) | |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |