| NPI | 1528346566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 34.011662) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101019424) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2024-08-27 |