| NPI | 1740663426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL 146365) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5315071057) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301107825) | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2020-10-16 |