| NPI | 1396362091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A197105) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2020018851) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2024-10-01 |