| NPI | 1124097779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A105006) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301065907) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2013-06-19 |