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 |