| NPI | 1053549634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301109344) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2009012953) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MI 4301109344) | |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2016-09-08 |