| NPI | 1225659816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 81469-21) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5151014272) |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2024-08-08 |