| NPI | 1710502745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301512255) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4351046238) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2024-08-07 |