| NPI | 1740494202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 34.009043) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI L628790) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2017-08-24 |