| NPI | 1770670788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301088707) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301088707) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2021-04-15 |