| NPI | 1124513536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 81260-21) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101024328) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2023-11-29 |