| NPI | 1750630943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: KY 52159) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301101440) |
| 207V00000X Obstetrics & Gynecology (Licence: KY 52159) | |
| Enumeration Date | 2012-09-03 |
| Last Update Date | 2023-04-05 |