| NPI | 1487149779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 5101024321) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL OS20191) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2024-01-18 |