| NPI | 1740569391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 74607) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301098912) |
| Enumeration Date | 2011-08-14 |
| Last Update Date | 2015-09-16 |