| NPI | 1548342165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G80059) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 103878) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2026-07-20 |