| NPI | 1891085395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301509132) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2017028833) |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2023-04-27 |