| NPI | 1134390057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D78963) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301091661) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 257221-1) | |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2024-02-05 |