| NPI | 1013376763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS18119) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101025455) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2024-01-31 |