| NPI | 1881114809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 75732-20) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4351040741) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2021-08-30 |