| NPI | 1073042917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 18951) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101023294) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2023-03-03 |