| NPI | 1013236397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.126460) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI L590667) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2020-12-08 |