| NPI | 1588658579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS13177) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101012638) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2025-08-29 |