| NPI | 1265953335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.142065) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301113228) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2021-06-24 |