| NPI | 1790125391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D90207) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301111670) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2021-04-20 |