| NPI | 1598116915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A166421) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301109995) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4351035310) | |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2023-04-26 |