| NPI | 1962569210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A043253) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A043253) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2011-04-25 |