| NPI | 1467664649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101248227) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301095670) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2021-07-23 |