| NPI | 1063919298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301513632) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A181166) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2025-07-09 |