| NPI | 1255547725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A 107493) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301085979) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2021-11-10 |