| NPI | 1326458803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 69554-21) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101021065) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2018-08-03 |