| NPI | 1427026277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WY 8881A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI PB011941) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2017-10-30 |