| NPI | 1821401225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MA 273539) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101021239) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2018-10-15 |