| NPI | 1750969093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 06047) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5151014960) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2025-06-02 |