| NPI | 1134376486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 57321-21) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101017794) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2013-01-21 |