| NPI | 1174985154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301509178) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2020012378) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2023-11-07 |