| NPI | 1295963213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: WV 25582) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301094835) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2015-05-26 |