| NPI | 1003070541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A 12135) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101017946) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2022-01-14 |