| NPI | 1013370980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301502223) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY R4197) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2020-07-07 |