| NPI | 1558674622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME140970) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301096040) |
| 207V00000X Obstetrics & Gynecology (Licence: MO 2014009350) | |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2020-06-09 |