| NPI | 1972634665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM MD2010-0684) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G75560) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-02-03 |