| NPI | 1003128471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA MD-41703) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301096518) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2021-03-11 |