| NPI | 1417901174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 5101015503) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 51001) |
| 207V00000X Obstetrics & Gynecology (Licence: HI DOS-1250) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-04-22 |