| NPI | 1659992303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA OP61548156) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5151014349) |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2024-09-30 |