| NPI | 1669602074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301104011) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA a107856) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2025-10-13 |