| NPI | 1710952635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME133087) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301072577) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2022-09-30 |