| NPI | 1760602569 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: OR MD154589) | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35-091901) | 
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301084032) | |
| 207V00000X Obstetrics & Gynecology (Licence: OR MD154589) | |
| Enumeration Date | 2007-04-26 | 
| Last Update Date | 2013-11-14 |