| NPI | 1912136649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 85262) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301095155) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2022-09-16 |