| NPI | 1023337920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL TRN# 19322) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301094454) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2023-07-06 |