| NPI | 1104488212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 5101027391) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5151014112) |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2023-12-15 |