| NPI | 1649489782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0102203079) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101016343) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2012-10-18 |