| NPI | 1609190255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301508556) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2018019493) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2023-05-18 |