| NPI | 1770931883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301502235) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301109889) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2020-07-30 |