| NPI | 1417971029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MS 19033) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA C00141026) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2025-01-08 |