| NPI | 1255629275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 51473) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301099369) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2020-10-21 |