| NPI | 1396189718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.130551) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301102508) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2024-01-02 |