| NPI | 1861988867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 5101027023) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 77284) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2024-08-16 |