| NPI | 1093178774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME155280) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301503010) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2022-08-15 |