| NPI | 1679953889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 5101025226) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101021843) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2020-02-17 |