| NPI | 1891941506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DC DO34386) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101017674) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2019-10-28 |