| NPI | 1598026163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV DO3836) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101020003) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2025-08-19 |