| NPI | 1669600581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 5101018404) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101018404) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2018-01-10 |