| NPI | 1093211633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A165365) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301506812) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2024-09-10 |