| NPI | 1174506315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C148024) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MI 4301056342) |
| 207V00000X Obstetrics & Gynecology (Licence: NC 2018-00345) | |
| 207V00000X Obstetrics & Gynecology (Licence: AZ 50015) | |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2026-06-18 |