| NPI | 1629171566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301508624) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 35939) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2023-05-09 |