| NPI | 1710210745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA OS016597) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5315041797) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2019-11-18 |