| NPI | 1225261035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101262797) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301095370) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2025-01-16 |