| NPI | 1457771057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 5101021034) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO DR0060583) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2024-06-12 |