| NPI | 1699088997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS16199) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101018993) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 34-011390) | |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2019-12-11 |