| NPI | 1245725829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 83783) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301507116) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2026-03-02 |