| NPI | 1083108369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.144088) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5315092316) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301115129) | |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2022-12-06 |