| NPI | 1194107755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 324011) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301107802) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2024-10-22 |