| NPI | 1669046272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0102209359) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5151015033) |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2025-05-20 |