| NPI | 1871794487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301099659) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 43-01-099659) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2015-12-08 |