| NPI | 1003376831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301509229) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 11901355-1205) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2023-08-01 |