| NPI | 1336225473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301098167) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 229895) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2012-03-29 |