| NPI | 1750307807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301060481) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00020926) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-09-27 |