NPI | 1053666198 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35137362) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301101487) |
Enumeration Date | 2012-07-16 |
Last Update Date | 2023-11-03 |