| NPI | 1043298672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60270697) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301082676) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2015-03-19 |