| NPI | 1184967085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 56168) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301102775) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2017-07-07 |