| NPI | 1508825290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV 15864) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301074586) |
| 207V00000X Obstetrics & Gynecology (Licence: CO 0000351) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2022-07-09 |