| NPI | 1114487907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 57.247231) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A186361) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2026-07-17 |