| NPI | 1255519435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM 2011-0600) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301090675) |
| Enumeration Date | 2008-02-10 |
| Last Update Date | 2017-03-22 |