| NPI | 1669766721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2015-01221) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101019426) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2015-08-26 |