| NPI | 1225008105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WV 1634) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101012085) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0102050038) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2012-04-27 |