| NPI | 1205497146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301509643) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT219330) |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2023-09-13 |