| NPI | 1508351230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS18304) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101024236) |
| 207Q00000X Family Medicine (Licence: FL OS18304) | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2023-06-22 |