| NPI | 1538471248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 51158) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301096385) |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2014-06-02 |