| NPI | 1336598432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101268383) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301110077) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2022-05-26 |