| NPI | 1881035715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C198233) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 94624) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2025-07-11 |