| NPI | 1548529688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301100508) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.133941) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2024-07-29 |