| NPI | 1467764571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 91873) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301096574) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2024-04-26 |