| NPI | 1154556884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 269890) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101018173) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2018-10-09 |