| NPI | 1861489429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: MI 5101012438) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101012438) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2024-12-10 |