| NPI | 1477992402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 2017-00636) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301103670) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2017-07-28 |