| NPI | 1003045014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 27447) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301095044) |
| Enumeration Date | 2009-07-11 |
| Last Update Date | 2013-08-05 |