| NPI | 1033150032 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301060101) | 
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MI LC060101) | 
| Enumeration Date | 2006-06-09 | 
| Last Update Date | 2022-03-31 |