| NPI | 1154841476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL 148948) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4351040223) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2026-04-16 |