| NPI | 1821228073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 67871) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101018426) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2021-12-06 |