| NPI | 1144425364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A11377) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101017151) |
| 207V00000X Obstetrics & Gynecology (Licence: KY tp779) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2025-12-26 |