| NPI | 1275192668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 81676) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4351045089) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2023-09-15 |