| NPI | 1245854652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 1019386) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4351046715) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2024-04-25 |