| NPI | 1811337298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0102204817) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101020634) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2022-07-21 |