| NPI | 1396768032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301079875) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 48580) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2021-02-19 |