| NPI | 1700116159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 34.014025) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL OS17438) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 5101020813) | |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2022-11-15 |