| NPI | 1215927652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 44250) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301066108) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2025-02-04 |