| NPI | 1588185862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX V3627) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101023544) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2024-09-12 |