| NPI | 1194793646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS17094) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101012030) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2021-01-07 |