| NPI | 1992163919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA F1015547) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA F1015547) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |