| NPI | 1902069917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 56799) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301092528) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2024-01-29 |