| NPI | 1033524962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 5101021040) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA OP60862994) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2020-12-10 |