| NPI | 1952669715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A15528) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2016025642) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2022-07-21 |