| NPI | 1174790646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301057368) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 56966) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2019-10-02 |