| NPI | 1578640322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI EMC0005178) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 33128) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CO 33128) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-07-18 |