| NPI | 1376856724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME143444) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301097015) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2024-07-03 |