| NPI | 1588814024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301101736) |
| Additional Taxonomies | 282NW0100X General Acute Care Hospital, Women |
| Enumeration Date | 2008-09-20 |
| Last Update Date | 2012-09-10 |