| NPI | 1154381234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C153733) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI EC080818) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301080818) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2021-12-17 |