| NPI | 1023507464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A24460) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101023777) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2025-11-18 |