| NPI | 1265927222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OK 43039) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301115757) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2024-08-28 |