| NPI | 1215467717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A171975) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301112412) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 5315085126) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MI 4351042771) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2021-11-08 |