| NPI | 1265851612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS18045) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101021419) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2023-06-22 |