| NPI | 1992266464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 74979-21) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 20A21012) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2023-09-05 |