| NPI | 1134743149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 103404) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4351047241) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2025-06-09 |