| NPI | 1396763363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 43217) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301108895) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 227011) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2018-03-17 |