| NPI | 1437697356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2021031577) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101023508) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 5151013078) | |
| Enumeration Date | 2017-02-11 |
| Last Update Date | 2023-04-18 |