| NPI | 1467674275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK 129052) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301088654) |
| 207V00000X Obstetrics & Gynecology (Licence: OR MD150768) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2018-04-19 |