| NPI | 1306407556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 93932) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5151014097) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2023-09-20 |