| NPI | 1861920654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MI 5151011767) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101023050) |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2021-06-23 |