| NPI | 1508247776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301117514) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2015017871) |
| Enumeration Date | 2015-06-14 |
| Last Update Date | 2020-02-25 |