| NPI | 1801983671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 1013399) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301051307) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2023-07-25 |