| NPI | 1770793416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MI 4301084233) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301084233) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-10-22 |