| NPI | 1366024457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK 235964) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5151014883) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2025-03-22 |