| NPI | 1497068423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME182899) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 59649) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301096090) | |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2026-09-08 |