| NPI | 1558881300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK 190400) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101023081) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2022-07-21 |