| NPI | 1154617280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 5101019497) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 0000003854) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2022-04-21 |