| NPI | 1851554968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101251978) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301092725) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2013-10-22 |