| NPI | 1982226791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A22810) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5315218200) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2026-05-26 |