| NPI | 1902243389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 51289) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101020523) |
| Enumeration Date | 2013-05-26 |
| Last Update Date | 2018-03-17 |