| NPI | 1881701100 |
|---|---|
| Doing Business As | |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 45448) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301074303) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2023-11-17 |