| NPI | 1427235605 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301090464)  | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 242478)  | 
| Enumeration Date | 2008-01-30 | 
| Last Update Date | 2015-12-29 |