| NPI | 1447258512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK 242705) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301066374) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2026-02-17 |