| NPI | 1003376831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA A202946) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301509229) |
| 207V00000X Obstetrics & Gynecology (Licence: UT 11901355-1205) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2025-12-12 |