| NPI | 1366823288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301117227) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4351039431) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2023-05-12 |