| NPI | 1679956999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301108478) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301118938) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2019-06-24 |