| 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 |