| NPI | 1891222493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD217610) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301111804) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2023-11-14 |