| NPI | 1821449513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.140153) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301110649) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2020-10-15 |