| 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 |