| NPI | 1669815189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301503847) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 35944) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2022-07-15 |