| NPI | 1407801160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301111162) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 203469) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2024-04-30 |