| NPI | 1326589359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS17864) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5151012058) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2025-12-30 |