| NPI | 1629498985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OH 35.139364) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301114329) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2020-07-09 |