| NPI | 1225560048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 322355) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301504351) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2023-07-13 |